Osteoporosis, bone & mineral

Is there an association between birth characteristics and fractures in young adults? The HUNT Study, Norway

Osteoporos IntPublished Prospective cohort study

Authors' conclusion

Birth weight, gestational age, or birth weight for gestational age was not associated with an increased risk of fractures of the wrist, humerus, hip, and spine in young adults.

Study context

Population
Young adults (19–54 years) in the 3rd survey of the HUNT Study (2006–2008), Norwayaged 19–54 years
Participants
11,099 adults
Exposure
Birth characteristics and fracture risk
Outcome
Fracture of wrist, humerus, hip or spine
Follow-up
Median 14.0 years
Methodological detailspopulation-based, registry linkage (Medical Birth Registry of Norway and hospital records), Cox regression adjusted for birth year, sex, maternal age and maternal morbidity
  • Population-based
  • Registry linkage (Medical Birth Registry of Norway and hospital records)
  • Cox regression adjusted for birth year, sex, maternal age and maternal morbidity

Main finding

As reported in the abstract

Hazard ratio (95% CI)
Birth weight < 2.5 kgvs Birth weight 3.5 - 3.9 kg
0.43(0.15–1.24)
Small for gestational agevs 10 - 90th percentile
1.04(0.74–1.46)
Pretermvs Term births
0.63(0.33–1.23)
Mean age at first fracture, years (SD 7.4)
41.4

Observational data: associations, not effects.

Further findings

Fractures with follow-up from 1988 (secondary analysis)

539 fractures; similar results as the main analysis

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Is there an association between birth characteristics and fractures in young adults? The HUNT Study, Norway. Osteoporos Int. Published 8 January 2025. doi:10.1007/s00198-024-07361-5

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